Platform

    HIPAA-compliant clinical evidence extraction, built for the demands of federal healthcare programs and enterprise payers.

    How It Works

    Step 1

    Ingest

    Clinical documents enter the platform via FHIR API, direct upload, or existing workflows. We process PDFs, scanned documents, HL7 messages, C-CDA records, and faxed clinical notes.

    Step 2

    Extract

    Our AI reads the clinical narrative and extracts specific data points: diagnoses, lab values with units, medications with dosages, procedures with dates, functional status assessments, and clinical impressions. Each extraction includes a confidence score and a citation to the exact source location in the original document.

    Step 3

    Validate

    Extracted evidence is mapped against the relevant clinical criteria — coverage determination requirements, risk adjustment validation standards, hospice eligibility criteria, or drug-specific prior authorization rules. The system identifies which criteria are met, which are not met, and which evidence is missing from the submitted documentation.

    Step 4

    Review

    Reviewers receive structured evidence with source citations linked to the original document. Every extraction is auditable. All outputs are advisory — clinical judgment remains with the human reviewer.

    All processing occurs on HIPAA-compliant AWS infrastructure with automated PHI de-identification before language model inference.

    Integration Capabilities

    Data Standards

    • FHIR R4, HL7 v2, C-CDA
    • X12 278 / 835
    • NCPDP SCRIPT
    • LOINC, SNOMED CT
    • ICD-10, CPT, RxNorm

    Document Types

    • Progress notes
    • Pathology & radiology reports
    • Discharge summaries
    • Hospice certifications
    • Operative notes
    • Lab PDFs, scanned / faxed documents

    Deployment

    • Cloud API (AWS)
    • On-premise containerized deployment
    • Hybrid: local screening + cloud escalation

    Security Architecture

    Infrastructure posture — not certification claims.

    ✓HIPAA-compliant infrastructure with signed BAA
    ✓Architected for FedRAMP Moderate environments
    ✓Designed to align with CMS ARS 5.1 controls
    ✓Supports Zero Trust Architecture principles per EO 14028
    ✓FIPS 140-2 encryption via AWS KMS
    ✓Section 508 accessible design
    ✓Automated PHI de-identification before inference

    Our infrastructure operates on AWS with KMS-managed key rotation, on-boundary stateless processing, and automated PHI de-identification pipelines. The platform is designed to operate within environments requiring CMS Acceptable Risk Safeguards and HIPAA Minimum Necessary standards.